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Published on: October 23, 2018

[Respiratory complications during surgical treatment of patients in a paediatric intensive care unit]

Lj Pejkov, V Borisev, V Peković-Zrnić

    Srpski Arhiv Za Celokupno Lekarstvo
    |September 1, 1994
    PubMed

    Insights

    Postoperative pulmonary complications significantly increase mortality and morbidity in pediatric surgical patients, especially newborns. Prompt diagnosis and management are crucial for better outcomes.

    Area of Science:

    • Pediatric Surgery
    • Pulmonary Medicine
    • Critical Care

    Context:

    • Postoperative pulmonary complications (PPCs) occur in 6-76% of pediatric surgical patients.
    • Incidence varies significantly based on diagnostic criteria used.
    • Newborn infants represent a particularly vulnerable population for PPCs.

    Purpose:

    • To analyze the incidence and types of PPCs in pediatric surgical patients.
    • To identify risk factors associated with PPCs.
    • To evaluate the impact of PPCs on patient outcomes, including mortality, morbidity, and length of stay.

    Summary:

    • A one-year analysis of 74 pediatric surgical patients revealed pneumonia as the most frequent complication (86.95%) in the group with complications, particularly affecting newborns (65.21%).
    • Atelectasis, pneumothorax, and intra-alveolar hemorrhage were rare.
    • Intubation and ventilatory support were required in 69.56% of patients with complications versus 5.88% in the control group.

    Impact:

    • PPCs significantly increase mortality and morbidity, especially in newborn infants.
    • Complicated cases experienced prolonged hospitalizations in the pediatric intensive care unit.
    • The findings underscore the importance of vigilant monitoring and management of pulmonary complications in pediatric surgery.

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